Health Assessment - Chapter Nineteen

The most emergent cause of testicular pain in a young male is a- varicocele. b- epididymitis. c- tumor. d- hydrocele. e- testicular torsion.

e- testicular torsion. Testicular torsion is a surgical emergency. If surgery is performed within 12 hours after the onset of symptoms, the testis can be saved in about 90% of cases. Delayed treatment results in a much lower salvage rate.

Which of the following is a risk factor for testicular cancer? a- Circumcision b- Condyloma acuminatum c- Cryptorchidism d- Poor hygiene e- Multiple sexual partners

c- Cryptorchidism Cryptorchidism (testes that fail to descend by 12 months of age) is a risk factor for testicular cancer.

When examining a small child, in which position should he be placed to help push the testicles into the scrotum? a- Trendelenburg b- Tailor c- Standing d- Prone e- Supine

b- Tailor When the child is old enough to sit cooperatively, ask him to sit in a tailor position with legs crossed for the testicular examination.

A 12-year-old boy says that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with a- orchitis. b- hydrocele. c- rectocele. d- scrotal hernia. e- epididymitis.

b- hydrocele. A hydrocele is a soft scrotal mass that occurs from fluid accumulation and therefore does transilluminate. Orchitis results in a swollen, tender testis. A rectocele does not result in scrotal swelling. A scrotal hernia would also be palpable along the inguinal canal. Epididymitis is an extremely painful condition.

A normal vas deferens should feel a- tender. b- smooth. c- rugated. d- spongy. e- beaded.

b- smooth. The vas deferens should normally feel smooth, discrete, and nontender.

An enlarged, painless testicle in an adolescent or adult may indicate a- epididymitis. b- testicular torsion. c- a tumor. d- an undescended testicle. e- hypospadias.

c- a tumor. A hard, enlarged, painless testicle can indicate a tumor in an adolescent or adult male. Epididymitis and torsion are painful; an undescended testicle is common in infants and is usually resolved by 12 months. Hypospadias is a congenital defect of the urethral opening causing the meatus to be located ventral to its normal position.

The most common type of hernia occurring in young males is a- hiatal. b- incarcerated femoral. c- indirect inguinal. d- umbilical. e- femoral.

c- indirect inguinal. The most common type of hernia in children and young males is an indirect inguinal hernia.